Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.63 / $4,112.00 / $4,933.00	Facility		$698.63	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.54 / $553.48 / $725.50	Professional		$468.54	$553.48	$725.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,351.23 / $7,225.88 / $16,969.02	Facility		$5,351.23	$7,225.88	$16,969.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.07 / $792.41 / $1,301.24	Professional		$163.07	$792.41	$1,301.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.26 / $637.24 / $1,160.74	Professional		$402.26	$637.24	$1,160.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $557.12 / $4,112.00 / $4,933.00	Facility		$557.12	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $520.99 / $612.83 / $906.12	Professional		$520.99	$612.83	$906.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $382.90 / $619.99	Professional		$68.50	$382.90	$619.99
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $10,192.00 / $12,767.00	Facility		$4,635.00	$10,192.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $553.27 / $652.11 / $887.95	Professional		$553.27	$652.11	$887.95